Lisa Moe

NPI #1427711753 in Perham, Minnesota

Provider Information

NPI Number: 1427711753
Entity Type: Individual
Name: Lisa Moe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 13, 2021
Last Updated: Nov 10, 2021

Practice Location

Address: 735 3RD ST SW
City: Perham
State: Minnesota
ZIP Code: 56573-1152
Phone: (605) 271-2690

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training/Habilitation Specialist	373H00000X
Behavior Technician	106S00000X	Primary

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